Bachelor of Science in Nursing (BSN) Checklist


INSTRUCTIONS: Initial each item as it is completed. This checklist and documents listed below must be received by the Health Sciences Specialist (Health and Science Education Center, Room 133) before you register for nursing classes. A referral form will be provided for registration release.

Completing the checklist does not guarantee admission into the program. Completed checklist packets are accepted for review throughout the year. Once all documents are approved, applicants are accepted on a first-come, first-served basis, according to the date stamped on their checklists.

Prior to enrollment and registration in the BSN program:

I have met with an academic advisor and verified the following:
That I have a new SFSC Admissions Application on file with the college (applies to all students).
That I have submitted official transcripts documenting completion of an Associate Degree in Nursing or its equivalent as determined by SFSC procedure.
That my transcripts have been reviewed by an advisor.
 ____  2.I have attached a signed and notarized Affidavit of Good Moral Character form.
 ____  3.I have verified with the Registrar’s Office that my student contact information is correct.
 ____  4.I have read the BSN Nursing Student Handbook and signed the Student Handbook Signature Page.
 ____  5.I have read the Consent/Student Confidentiality Agreement and signed the acknowledgement located in the BSN Nursing Student Handbook.  
 ____  6.I have read and signed the Acknowledgement of Receipt of Notice of Privacy Practices.
 ____  7.I have completed the Student Health History/Family and Personal History Form and attached the signed forms.
 ____  8.I have attached a copy of a valid government-issued photo identification or driver’s license.
 ____  9.I have completed the Basic Life Support (BLS) for Healthcare Providers or higher (ACLS, PALS) course and a current copy of my certification card is attached. This card will be valid throughout my enrollment in the SFSC nursing program.
 ____  10.I will provide proof of any medical or other requirements upon request to representatives of SFSC Nursing Department or its clinical affiliates.
 ____  11.I have read the Student Essential Technical Standards. I had my medical provider complete the SFSC Nursing Department Health Form, and read and signed both forms.
 ____  12. I have attached a copy of my valid, unencumbered Florida RN license.
 ____  13.I have submitted three SFSC Nursing Department Student References.

When requested during the program (prior to registration for clinical courses):

 ____  1.I have completed a Level 2 Fingerprinting Background Check and read the information from the Florida Board of Nursing related to legislation affecting maintenance of licensure.
 ____  2.I have completed the 10-panel drug screen as directed, and attached the required receipt (blue).

Program exit requirements:

 ____  1.I have completed two years of high school instruction in the same foreign language, or completed a minimum of eight college-level credits in one foreign language, per Florida Statute 1007.262 prior to graduation.
 ____  2.I acknowledge that I must maintain a minimum grade of “C” in all BSN-level courses.

Student Name (Printed): _____________________________________________________

Student Signature: _________________________________________________________

Student GID: _____________________________________________________________

Date: __________________________________________________________________


Reviewed by: _____________________________________________________________